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Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

dc.contributor.authorMata Ribeiro, L
dc.contributor.authorMeireles, R
dc.contributor.authorBrito, I
dc.contributor.authorCosta, P
dc.contributor.authorRebelo, M
dc.contributor.authorBarbosa, R
dc.contributor.authorChoupina, M
dc.contributor.authorPinho, C
dc.contributor.authorRibeiro, M
dc.date.accessioned2023-02-01T15:50:22Z
dc.date.available2023-02-01T15:50:22Z
dc.date.issued2022
dc.description.abstractBackground Implant-based breast reconstruction has evolved tremendously in the last decades, mainly due to the development of new products and techniques that make the procedure safer and more reliable. The purpose of this study was to compare the outcomes in immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and inferior dermal flap (IDF). Methods We conducted a retrospective comparative study of patients submitted to immediate breast reconstructions with an anatomical implant and ADM or IDF in a single center between 2016 and 2018. Outcomes evaluated included major complications, early complications, reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics and univariate analysis were performed. Results A total of 118 breast reconstructions (85 patients) were included in the analysis. Patients in the IDF group had a higher body mass index (median = 27.0) than patients in the ADM group (median = 24). There were no statistically significant differences among both groups regarding immediate major complication, early complications, readmissions, and reinterventions. Conclusion There are no significant differences in complications between the ADM and IDF approach to immediate implant breast reconstruction. In patients with higher body mass index and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Plast Surg. 2022;49(2):158-165.pt_PT
dc.identifier.doi10.1055/s-0042-1744404.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4381
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherThieme Medical Publisherspt_PT
dc.subjectHSJ CPRpt_PT
dc.subjectAcellular Dermipt_PT
dc.subjectBreast Implantspt_PT
dc.subjectMammaplastiespt_PT
dc.subjectMastectomiespt_PT
dc.subjectRetrospective Studiespt_PT
dc.titleComparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flappt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage165pt_PT
oaire.citation.startPage158pt_PT
oaire.citation.titleArchives of Plastic Surgerypt_PT
oaire.citation.volume49pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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